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Medicaid Formulary 2024 New York. New york medicare part d plans qualifying for the $0 lis monthly premium; Not all agents covered by nyrx are listed on. Medicaid pharmacy list of reimbursable drugs (formulary file) as a reference tool for pharmacies and prescribers, the formulary file contains prescription. The amida care medicaid benefits plan offers members a single statewide outpatient formulary for opioid dependence agents and opioid antagonists, in accordance with.